Initial experience of endovenous laser surgery in the Hospital Civil from Guadalajara

Daphne Nunille González Muñoz; Martín Gómez Lara; Claudia Elizabeth Mojica Rodríguez; Sulei Bautista González; Oscar Ramón Guzmán Chávez; Jaime Gilberto Lopez Taylor; Francisco Guadalupe Sandoval Vírgen.

2012, Number 4

Rev Med MD 2012; 3.4 (4)

Initial experience of endovenous laser surgery in the Hospital Civil from Guadalajara

González-Muñoz HDN, Gómez-Lara M, Mojica Rodríguez CE, Guzmán-Chávez OR, Bautista-González S, López-Taylor JG, Sandoval-Virgen FG

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Language: Spanish
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ABSTRACT

Background: The varicose veins have a prevalence of 25-33% in women and 10-20% in men. The disease may course asymptomatic or present symptoms of pain, heaviness, edema, skin change and ulcers. The current diagnosis is done with the CEAP classification based on the patient's history, as well as the venous Doppler ultrasound. For the treatment, the saphenofemoral junction ligation and stripping is considered the gold standard; however, in the last decade many minimally invasive techniques have been developed such as the endovenous laser ablation.
Material and methods: A prospective, descriptive study with the objective of describing the experience with endovenous laser surgery on patients with primary venous insufficiency in the Civil Hospital of Guadalajara, in a period from December 2010 to June 2011. There were included 30 patients diagnosed with primary venous insufficiency CEAP2 to CEAP6 classification. A 980 nm laser was used for laser ablation. A duplex venous Doppler ultrasound post-surgery for the previous evaluation, as well as the post-surgery in 1,3 and 6 months after the intervention.
Results: In a total of 34 limbs, 26 patients in an unilateral manner and 4 bilaterally. 23 female patients (76.7%) and 7 (23.3%) males. In all patients, the greater saphenous vein was ablated, in 53.3% a piercing ablation was done and in 80% of varicose veins. During the follow-up 28 patients (93.3%) had a complete obliteration of the treated vein, confirmed with duplex Doppler ultrasound. In 2 patients (6.7%) was detected recanalization of the saphenous vein after 30 day. As for the complications, 8 patients (26.7%) presented transitory neuritis in the saphenous nerve tract, 15 (50%) of the patients presented ecchymosis with complete termination; 2 patients (6.7%) had second grade burn in the location of introduction of the fiber with complete healing after 8 weeks.
Conclusions: The introduction of this new surgical technique in our institution was satisfactory since the patients had a lower rate of complications and return to their normal activity in short time, reason why it can be implemented as an alternative to open surgery.

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